London, United Kingdom 2013 Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 775 814 Rehabilitation and reorganisation after stroke Stroke patients’ and physiotherapists’ views of self-management after stroke E.A. Sadler1, C.D.A. Wolfe2, C. McKevitt3 King’s College London, London, UNITED KINGDOM1, King’s College London and NIHR Bio-medical Research Centre at Guy’s and St Thomas’ NHS Foundation Trust and King’s College Lon-don, London, UNITED KINGDOM2, King’s College London and NIHR Biomedical Research Cen-tre at Guy’s and St Thomas’ NHS Foundation Trust and King’s College London, London, UNITED KINGDOM3 Background Self-management (SM) interventions teach individuals strategies to manage the long term conse-quences of health conditions, and are proposed as one way to meet stroke patients’ long term needs. However, there is mixed evidence that such interventions work. This may be due to differences in patients’ and health professionals’ (HP) views regarding SM, but little empirical work has been done in this area. This study aimed to investigate how stroke patients and physiotherapists view SM man-agement after stroke. Methods We conducted one-to-one in-depth interviews with 13 participants from the South London Stroke Register admitted to a stroke unit in London, UK, and 12 physiotherapists involved in their care. Topics focused on the role of SM after stroke and factors facilitating or hindering this. Interviews were analysed thematically. Results Stroke patients viewed SM as regaining their independence to carry out pre-stroke daily activities. Factors identified as facilitating SM included: psychological attributes, such as motivation and will-ingness to take responsibility, trust in the physiotherapist to guide recovery, and a supportive, moti-vating relationship with the therapist. Physiotherapists viewed SM as patients’ ability to take an ac-tive role in their rehabilitation and recovery. They felt that similar psychological attributes facilitated SM, as did the skill and experience of the physiotherapist. They also noted barriers to SM including, cognitive impairments and a lack of training on how to support stroke patients in learning SM skills. Conclusion Physiotherapists and stroke patients agreed SM involved psychological resources to take an active role in rehabilitation and recovery after stroke. The patient/therapist relationship provided a context for learning SM skills. Interventions to promote SM should focus on the nature of the patient/thera-pist relationship, adapt approaches for patients with cognitive impairments and provide training for physiotherapists.
Karger_ESC London_2013
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